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Active NPI 1457420853 Individual Practitioner Male Practitioner

Dr. Mark Allen Fullmer , MD

Surgery • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fullmer, MD is a registered healthcare professional specializing in Surgery in Provo, UT. Practice services are available at 1055 N 300 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W
Suite 418

Provo, UT 846043344

Telephone 8013577100
Fax 8013578100
Associated Practice Facility / Clinic
🏢 Intermountain Healthcare Facility NPI 1326096728

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (278 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 152450-1205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Max Mcbride , PhD

Psychologist - Clinical

NPI 1083793467

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address May 16, 2021

Registered at 1512 RENAISSANCE TOWNE DR STE 200, BOUNTIFUL, UT 840107517 (Tel: 3852042722)

NPI Profile Active July 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2012

Registered at 1055 N 300 W, SUITE 418, PROVO, UT 846043344 (Tel: 8013577100)

📍
Updated Business Mailing Address July 17, 2012

Registered at 1055 N 300 W, SUITE 418, PROVO, UT 846043344 (Tel: 8013577100)

👤
Provider Name / Credentials Updated July 17, 2012

Recorded as MARK FULLMER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2012

Surgery (License #152450-1205 in UT)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457420853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

1512 Renaissance Towne Dr Ste 200

Bountiful, UT 840107517

Phone: 3852042722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.